| Field | Data |
|---|---|
| EIN | 85-0873662 |
| Case Number | EO-2020171-000217 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LYNN CORNELL BRAIN INJURY FOUNDATION INC |
| Organization’s Mailing Address | 17550 N PERIMETER DR STE 130 |
| City | SCOTTSDALE |
| State | AZ |
| ZIP | 85255 |
| Accounting period End | 4 |
| Primary contact name | ROBERT CORNELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ROBERT CORNELL
CEO AND DIRECTOR
5610 E CHARTER OAK
SCOTTSDALE AZ 85254
TOM CORNELL
PRESIDENT AND DIRECTOR
12406 BOHEME DR
HOUSTON TX 77024
JEFF WHITLEY
DIRECTOR
17550 N PERIMETER DR STE 130
SCOTTSDALE AZ 85255
BOBBY HAEUSSLER
SECRETARY TREASURER DIRECTOR
316 BEACHCOMBER DR E
ROCKLIN CA 95677
KIM DIANOVICH
DIRECTOR
5804 E PARNELL DR
CAVE CREEK AZ 85331
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/11/2020 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Z99 - Unclassified |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| Disaster relief assistance | No |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JEFF WHITLEY |
| Signature Title | DIRECTOR |
| Signature Date | 6/17/2020 |
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